Laprese Michelle Rothwell-Nikoi

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

143620 Issued in PA

Practice address

1018 Elsinore PL
Chester, PA 19013-6315

Phone

(610) 874-7849

Fax

(484) 461-3537

NPI assigned

Jul 5, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1740776491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E PROVIDENCE RD",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502935",
            "telephone_number": "484-802-5333",
            "fax_number": "484-462-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 ELSINORE PL",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190136315",
            "telephone_number": "610-874-7849",
            "fax_number": "484-461-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHWELL-NIKOI",
        "first_name": "LAPRESE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "143620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY RESIDENTIAL REHABILITATION SVC LICENSE",
            "identifier": "143620",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elleen Rosenblatt, BA
• Rikki Jessica Rosini
• Andrew Ross
• Kerry Michael Ross, M.D.
• Shayla N Ross, BA
• Lisa M Rubin, PEER SPECIALIST
• Cynthia Rudisill, MA
• Latisha Rudolph
• Jacqueline A Ruggieri, MSW
• Chad Rutherford, M.S.

• Substance Abuse Rehabilitation Facility in Chester, PA
• Providers in Chester, PA by specialty
• Substance Abuse Rehabilitation Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.